定期直接门静脉造影的新方法及其在肝癌治疗中的临床意义

The Efficiency of Postoperative Portography with IDDS in Treatment of Hepatic Carcinoma

目的:探讨肝癌术后定期直接门静脉造影的新方法及其在肝癌治疗中的临床意义。材料和方法:肝癌剖腹手术患者30例,术中插管至门静脉主干,并将 IDDS 埋植于腹壁皮下,术后定期直接经 IDDS 推注泛影葡胺,观察门静脉显影情况并拍摄点片。结果:门静脉显影情况良好,Ⅱ级显影率19.1%、Ⅲ级51.4%、Ⅳ级29.4%。未见不良反应。结论:此新方法开辟了肝癌门静脉血流动力学研究的新途径,并有助于指导术后治疗。

Purpose:To evaluate the efficiency of postoperative portography with implantable drug delivery system in treatment of hepatic carcinoma.Materials and Methods:Intraoperative portal vein catheterizations were performed on thirty patients,catherters were inserted into portal vein and connected to IDDS which was implanted under the skin of ahdominal wall.76% meglucamine diatrieoate was regularly injected through the IDDS to observe portal vein and to take desired spot films.Results:Satisfactory radiogical manifestation of portal vein and its branches was obtained(grade Ⅰ 0%,grade Ⅱ 19.1%,grade Ⅲ 51.4% grade Ⅳ 29.4%).and without side effecte.Conclu- sion:This technical procedure is useful in researching portal hemodynamics and guiding postoperative therapy.It is easy and safe to perform and Less expensive for wide use.